[Hiring] Clinical Quality Assurance Coordinator - Supervisor @MES Solutions

Role Description

The Clinical Quality Assurance Coordinator Supervisor is responsible for overseeing the daily workflow of the Quality Assurance Department and providing leadership and direction to ensure operations run as efficiently and effectively as possible. This position requires a complete understanding of the duties required and provides overall direction and support to the Quality Assurance Department.

This position is 100% remote with a schedule of Monday through Friday. You can start your day anytime between 7:00am-9:00am EST and end between 3:30pm-5:30pm EST.

Essential Job Functions:

• Coordinate and direct the QA department’s daily workflow to ensure all product lines are completed with the highest level of quality in the most effective and efficient manner possible.
• Prioritize and manage the daily workload and ensure the appropriate and equitable distribution of work is maintained in order to achieve goals.
• Monitor work product to ensure clear, concise, evidence-based rationales have been provided in support of all recommendations or determinations.
• Ensure department compliance with all federal ERISA and state mandates at all times.
• Promote effective and efficient utilization of all clinical resources and make necessary recommendations for improvements to management as needed.
• Ensure all client relationships are maintained and all client-specific requirements are met.
• Assist promptly in resolution of any physician and/or customer complaints or quality assurance issues.
• Delegate work as needed and provide backup to all departmental positions as required.
• Provide insight and direction to management on consultant quality, availability, and compliance with all company policies and procedures.
• Participate in the development and implementation of policies and procedures to promote and achieve the most efficient operation possible.
• Participate in various educational and/or training activities as required.
• Perform other duties as assigned.

Essential Supervisory Responsibilities:

• Carry out all responsibilities in accordance with the company’s standards, policies, and all applicable employment laws.
• Manage and monitor workflow and provide support, training, and techniques to assist staff in achieving department daily/weekly/monthly goals and standards.
• Encourage positive morale, maintain harmony among staff, and resolve grievances when necessary.
• Oversee the completion and approval of employee timecards and coordinate overtime needs with management and staff as needed.
• Actively participate in the department’s staffing requirements including hiring, onboarding, and separating of employees.
• In conjunction with management, create and implement a plan to meet department’s goals and metrics based on workload and client needs.
• Communicate change effectively and support those affected by change.
• Supervise insubordinate staff when warranted and initiate coaching or corrective actions as required and/or directed by upper management.
• Evaluate staff needs and performance, providing periodic feedback to staff and reporting any performance concerns and/or recommendations for growth opportunities to management.
• Actively participate and successfully conduct annual performance evaluations.

Qualifications

• High school diploma or equivalent required.
• A minimum of two years clinical or related field experience; or equivalent combination of education and experience.
• Knowledge of the insurance industry, preferably claims management relative to one or more of the following categories: workers' compensation, no-fault, liability, and/or disability.
• Strong knowledge of medical terminology, anatomy and physiology, medications, and laboratory values.
• Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers and decimals; ability to compute rates and percentages.
• Qualified typist with a minimum of 40 W.P.M.
• Able to operate a general computer, fax, copier, scanner, and telephone.
• Knowledgeable of multiple software programs, including but not limited to Microsoft Word, Outlook, Excel, and the Internet.
• Excellent skills in English usage, grammar, punctuation, and style.
• Ability to follow instructions and respond to upper management’s directions accurately.
• Demonstrates accuracy and thoroughness, looking for ways to improve and promote quality.
• Exceptional communication skills by conveying necessary information accurately, listening effectively, and asking questions for clarification.
• Able to work independently, prioritize work activities, and use time efficiently.
• Able to maintain confidentiality.

Benefits

• Fast-paced team atmosphere.
• Competitive benefits (medical, vision, dental).
• Paid time off.
• 401k.

Company Description

MES Solutions is a premier provider of independent medical examination and peer review services to the insurance, corporate, legal, and government sectors. Members of our credentialed medical panel conduct physical examinations or medical record reviews, delivering reports that assist clients in the resolution of automotive, disability, liability, and workers' compensation claims. MES has been providing services nationally since 1978 in accordance with the industry's highest standards of operating excellence and regulatory compliance.

Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, pregnancy, genetic information, disability, status as a protected veteran, or any other protected category under applicable federal, state, and local laws.